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1528264629
SOUTHEASTERN CARDIOVASCULAR IMG, INC.
VIDALIA, GA
NPI
1528264629
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Entity Type
Organization
Authorized Contact
DAVID H PAINE
Md
912-537-9826
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 028618)
Enumeration Date
2007-06-25
Last Update Date
2010-01-05
Business Address
SOUTHEASTERN CARDIOVASCULAR IMG, INC.
1006A MOUNT VERNON RD
VIDALIA, GA 30474-3029
Phone number: 912-537-9826
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Mailing Address
SOUTHEASTERN CARDIOVASCULAR IMG, INC.
1006A MOUNT VERNON RD
VIDALIA, GA 30474-3029
Phone number: 912-537-9826
Copy
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